Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.39 / $105.39 / $106.51	Facility		$105.39	$105.39	$106.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $105.39 / $130.10	Professional		$105.39	$105.39	$130.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.83 / $199.83 / $212.22	Facility		$199.83	$199.83	$212.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $122.08 / $155.40	Professional		$122.08	$122.08	$155.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $107.00 / $136.61	Professional		$107.00	$107.00	$136.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Facility		$172.35	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $172.35	Professional		$125.82	$125.82	$172.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $179.85 / $239.80	Professional		$139.88	$179.85	$239.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $126.75 / $233.66	Facility		$64.36	$126.75	$233.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $262.48 / $332.85	Professional		$120.00	$262.48	$332.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.48 / $150.81 / $249.79	Facility		$109.48	$150.81	$249.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $150.81 / $249.79	Professional		$109.48	$150.81	$249.79
United Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $131.74 / $150.19	Facility		$76.81	$131.74	$150.19
United Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $99.69 / $153.62	Professional		$92.86	$99.69	$153.62